Epiploic appendagitis

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Left iliac abdominal pain.

Patient Data

Age: 40
Gender: Male
CT

CT abdomen with contrast

Fusiform area of hypoattenuation seen in the left iliac region adjacent to the distal part of the descending colon, averaging 4 x 1 cm in axial dimension.  It is surrounded by a hyperdense halo that mildly enhances as well as minimal stranding of the surrounding fat planes.

Case Discussion

Epiploic appendagitis is common cause of left iliac abdominal pain as the descending colon is rich with Epiploic appendages. It appears as focal area of fat stranding in CT with hyperdense peripheral halo that may enhance.

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Case information

rID: 52811
Case created: 21st Apr 2017
Last edited: 2nd May 2017
Inclusion in quiz mode: Included

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